Individual
BRIDGETT VICENTA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(419) 575-2196
Mailing address
7081 QUAIL LAKES DR, HOLLAND, OH 43528-9390
(419) 575-2196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487170
—
OH
Enumeration date
05/23/2025
Last updated
05/23/2025
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